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The evolution of nursing
The evolution of nursing
Importance of adequate staffing for nurses
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The Process of Transformation Through Education Nursing profession has made leaps and bounds since I embarked onto the field of nursing in 1993. While I was proud of being a nurse, I did not feel the need to be ambitious nor competitive in my field. Aside from the well known fact about the nursing shortage, I was not familiar with the numerous advancements that had been made by the profession. Most recently, I have come to realize how sophisticated and respected nursing profession has become. Today, nurses as the highly valued commodity, need to be available to skillfully meet the challenging needs of the public. It has now become clear that nursing is engaged in the process of reshaping its function and form to accommodate the dynamic healthcare needs. I am convinced that nursing education is the key that will unlock the essential components in transforming the culture and practice of nursing. Despite the nurse shortage, the nursing profession is being elevated to the next level. Although diploma nursing was the standards of yesterday, the new nurse workforce will shine with the majority being BSN prepared nurses. With increasing patient acuity, the hospitals and chronic care setting institutions are in need of nurses that can accept the challenges and complications involving the complex healthcare issues. The BSN prepared nurses would successfully meet the challenges of coordinating care among other multidisciplinary team members and the ability to utilize available resources to deliver safe, effective, quality care (Institute of Medicine, 2011). To my dismay, I came to learn about the BSN preference when I tried to obtain a school nurse position few years ago. Incidentally, the areas of public health, school... ... middle of paper ... ... References American Association of Colleges of Nursing. (2011). New AACN data show enrollment in baccalaureate nursing program expands for the 10th consecutive year . Retrieved from http://www.aacn.nche.edu/news/articles/2010/bacc-growth Hassmiller, S. B., & Cozine, M. (2006, January/ February). Addressing the nurse shortage to improve the quality of patient care [Essay]. Health Affairs, 25(1), 268-274. doi: DOI 10.1377/hlthaff.25.1.268 ©2006 Project HOPE–The People-to-People Health Foundation, Inc. Institute of Medicine. (2011). The future of nursing: leading change, advancing health (Report). Retrieved from www.nap.edu: http://www.nap.edu/catalog.php?record_id=12956 Yordy, K. (2006). The nursing faculty shortage: A crisis for health care (Issue Brief). Retrieved from www.rwif.org: http://www.rwjf.org/files/publications/other/NursingFacultyShortage071006.pdf
Spencer, J. (2008). Increasing RN-BSN enrollments: facilitating articulation through curriculum reform. Journal of Continuing Education in Nursing, 39(7), 307-313. Retrieved from EBSCOhost.
The development of ADN programs has allowed many to reach their career goals by offering a shorter and less expensive way to complete their degrees. Some believe that Associate’s degree programs lack strong nursing theory and understanding of the actual science of nursing (Auerbach, Buerhaus & Staiger,
Institute of Medicine (2010). The future of nursing: Leading change advancing health Retrieved from http://books.nap.edu/openbook.php?record_id=12956&page+R1
Heller, B. R. , Oros, M. T., & Durney-Crowley, J. (2000). The future of nursing education: 10 trends to watch. Nursing and Health Care Perspectives, 21(1), 9-13.
There are several factors that are considered the causes of the nursing shortage. Literature suggests that the shortage is linked to factors related to current population trends and the nature of the health care e...
In most aspects of life the saying “less is always more” may ring true; however when it comes to providing quality care to patients, less only creates problems which can lead to a decrease in patient’s quality of life as well as nurse’s satisfaction with their jobs. The massive shortage of nurses throughout the United States has gotten attention from some of the most prestigious schools, news media and political leaders. Nurses are being burnt out from their jobs, they are being overworked and overlooked. New nurses are not being properly trained, and old nurses are on their way to retirement. All the while the rate of patient admissions is on the rise. Nurses are reporting lower satisfaction in their job positions and hospital retention rates are at an all-time low, conversely this is affecting all patients’ quality of care. As stated in the article Addressing The Nurse Shortage To Improve The Quality Of Patient Care “According to an Institute of Medicine report, Nurses are the largest group of health care professionals providing direct patient care in hospitals, and the quality of care for hospital patients is strongly linked to the performance of nursing staff”.
The nursing shortage is divided into four different categories. The four categories are as follows; "willing nurse" shortage, funding or perceived funding shortage, shortage of understanding that nurses are needed to deliver care, and nurse education and empowerment shortages (What is the nursing shortage and why does it exist?., 18 October, 2007). To be able to repair this major problem, all four segments of shortages need to be addressed. The first nursing shortage, A "willing nurse" shortage, is the simple fact of not enough supply to fill the demand of nursing positions. This shortage occurs either because there are simply not enough nurses to fill the open positions, or because experienced nurses are opting out of nursing and the willingness to provide care due to the current occupational environment. The second nursing shortage is the funding or perceived funding shortage. This shortage is merely due to nurses not feeling as if they are being compensat...
... & Abrahamson, K. (2009). A critical examination of the U.S. nursing shortage: contributing factors, public policy implications. Nursing Forum, 44(4), 235-244. doi:10.1111/j.1744-6198.2009.00149.x
The prolonged shortage of skilled nursing personnel has been a serious concern to the healthcare industry, and this shortage has impacted the quality of care delivery. In addition, nursing turnover has also exacerbated the problem of nursing shortage. Nursing shortage has been blamed on many nurses retiring and less younger nurses joining the occupation. There is also an increase in life expectancy (baby boomers) leading an increase in both physical and mental ailment with subsequent demand in nursing care. Nurses are also leaving nursing profession because of inadequate staffing, tense work environment, negative press about the profession, and inflexible work schedules. Even though nursing is a promising career and offers job security, the
Profession of Nursing is always regards as a complex, dynamic and noble. The nursing profession requires many things such as hard work, a vast knowledge, excellent communication skills, and a passion for the noble profession. All these qualities are needed to be an effective nurse. Today, nurses are living in a world of ever changing field of medicine .The present patient statistics poses, nurses are expected to take responsibility of accomplishing the requirements. The requirement for excellent nursing skills is added as well as well-formed skills in different aspect. Because of the high demand in excellent nursing care, the IOM have declared the recommendations for the future of nursing.
Nurses are considered as the largest population of professionals in the health care systems. The nursing population currently confronts sever shortages especially of younger and RNs nurses that could threaten the quality of care and patients’ safety, nurses’ job satisfaction, and organizational productivity. According to Flinkman and others’ fact that “Most countries within the Organization for Economic Cooperation and Development (OECD) have reported a nursing shortage, which is predicted to get worse because the current nursing population is aging”. Even nursing education institutions could not fill healthcare organizations demands of graduated nurses because they also suffer from shortages of nursing faculty (Erlen, 2004).
There has been a drastic cut in both the Medicare and Medicaid reimbursement rates. According to Robert (2012), “cuts of more than $360 billion to Medicare and Medicaid will be made over the next 10 years. The focus of nursing needs to emphasize more on wellness care and prevention rather than acute care” (McNeal, G., 2012). Nursing practice will need to shift more towards community and population focused nursing. Baccalaureate prepared nurses are provided with a curriculum that includes both community health and leadership skills that are not included in the associate program. By encouraging associate’s degree nurses to obtain a bachelor’s degree in nursing, an increase in the awareness of the needs of the community and population may be seen. The IOM report has outlined the anticipated obstacles that healthcare will face if changes are not made. By allowing nurses to provide care within their full scope of practice, quality care may be provided at an affordable cost to the population. The use of advanced practice nurses in primary care may provide quality, access, and cost efficient healthcare to high-risk populations and possibly decrease hospital admission rates, thus lowering the overall cost of healthcare. If nurses partner with doctors and other healthcare providers, it may improve healthcare by providing seamless transitions (Institute of Medicine,
Nursing has had a very long and important legacy in healthcare delivery. Nursing, though a very unique a profession and challenging field out of many fields, Nursing is often considered as one of the most rewarding and lucrative careers many individuals aspire to purse and it comes with great feeling to know one has made a difference in the lives of many people. Nurses, in general have the chance every day to make tremendous impacts in people's lives, to connect on a personal level with another human being, and to be part of a profession that has stood the test of time throughout the centuries. It is one of the most exciting and in-demand jobs in the United States of America today. In recent years, there has been a high demand for nurses. According to research done by the Bureau of labor statistics ‘Employment Projections 2014-2024’ the nursing profession is listed
Several years ago in 2008 the RWJF and the IOM collaborated for two years to discern the future needs of the nursing profession. Most importantly, the objective was to outline the critical actions needed to ensure nursing was ready to seamlessly move towards the future. This was no easy task as nurses work in such diverse settings such as outpatient areas, acute care settings, the community, and long term settings to name a few. Couple this with the fact that nurses have a variety of educational avenues such as the associates, diploma, or bachelor’s degree open to them to achieve the status of registered nurse (Institute of Medicine, 2010). All of this considered, the committee did design four key messages regarding the future of nursing as key in the transformation of health care as evidenced in their "Future of Nursing" report.
Nursing Shortage is a problem we all should be aware of. There are many factors that may lead to a nursing shortage, such as having stressful and unsafe working environments, and our nurses are being overworked. This is a problem we should be aware of because it is affecting the patient care. Nurses would not have enough time to stay with a patient if they have more patients to worry about. Nurses play a big role in our hospitals and communities, “Nurses play significant roles in hospitals, clinics and private practices. They make up the biggest health care occupation in the United States. Nursing job duties include communicating between patients and doctors, caring for patients, administering medicine and supervising nurses' aides”(study).